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Dermatologia > Leshmaniose > Flashcards

Leshmaniose Flashcards

1
Q

agente etiológico LTA

A

protozoários gênero Leshmania

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2
Q

ciclo de vida

A

lutzomya longipalpis (mosquito palha) -> promastigota -> pica -> macrófago -> amastigota -> mosquito

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3
Q

clínica LTA

A

inicial: papula eritematosa -> papulocrostrosa/vesiculosa/pustulosa
ulcerada: úlcera de bordos elevados e bem definidos, centro granulado vermelho vivo + secreção serosa

vegetante

mucosas: infiltração -> lesão ulcero vegetante

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4
Q

diagnóstico LTA

A

exame direto
histopatológico
teste de Montenegro

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5
Q

Tratamento

A

antimonial pentavalente 15/mg/kg/dia IM ou IV durante período de 10 a 30 dias

anfotericina B (HIV)

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6
Q

diagnóstico calazar

A

detecção parasito em aspirado medular

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7
Q

agente etiológico calazar

A

Leshmania donovani

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8
Q

clínica calazar

A

Oligo: febricula, tosse seca, adinamia, diarréia, sudorese, hepatomegalia (mediada por TH1)

Aguda: febre alta, calafrio, diarréia, esplenomegalia, pancitopenia

crônica: febre alta, tosse seca, mal estar, astenia, diarréia, perda ponderal + hepatoesplenomegalia + pancitopenia + inversão Alg/Glb

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Dermatologia (6 decks)

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